Riverview Health

Irregular Periods and Infertility: Could It Be PCOS?

For many women, becoming a mother is a momentous occasion. Unfortunately, some women who want to be mothers may have trouble becoming pregnant — and in some cases, polycystic ovary syndrome (PCOS) may be to blame.

Between 5 and 10 percent of women of childbearing age have PCOS. PCOS is a hormonal condition affecting women’s menstrual cycles, appearance, overall health and ability to have children. Its exact cause is still unknown. Many researchers think that PCOS is hereditary, while others think that the hormones insulin and testosterone could be at fault. Common symptoms of PCOS include:

  • Acne or oily skin
  • Thinning hair or male-pattern baldness
  • Insulin resistance or diabetes
  • Increased hair growth on the face, chest or back
  • Infertility
  • No menstrual periods or irregular menstrual periods
  • Ovarian cysts

Currently, no cure for PCOS exists, but treatments may focus on healthy diet, exercise and hormone control. Healthy food choices help keep weight down and stabilize insulin levels, which reduces the risk of heart disease and diabetes. Doctors may prescribe medications such as hormonal birth control pills, fertility medication to induce ovulation, diabetes medication for blood sugar control, and anti-androgens that counteract the side effects of testosterone like acne or hair growth. If you are experiencing symptoms of PCOS, consult your doctor. There isn’t any one test to diagnose PCOS, but rather a series of examinations. If you are diagnosed, your doctor can help you develop a plan to manage your symptoms. Treatments are usually based on your personal symptoms, stage of life and fertility goals.

What else should I know?

Having PCOS leaves women at an increased risk for a host of other diseases. Women with PCOS are prone to having higher cholesterol and blood-pressure levels, which increases their risk for heart disease. Diabetes is a risk as well because of impaired insulin levels. Finally, because the hormone progesterone is also affected, the chance for developing endometrial cancer is elevated. If you are diagnosed with PCOS, talk to your doctor about screenings for related conditions.

The good news.

With proper diet and exercise, many of the risks associated with PCOS can be managed. Drug treatments can also help a woman become pregnant, if she chooses. Talk to your doctor at Riverview Health if you’re concerned that you may have PCOS or if your symptoms are interfering with your life. PCOS may change your life, but starting a family and enjoying the activities you love are still possible.

Has it been a while since your last check-up, or do you need a new physician? Call us at 317.565.0535 to request an appointment.

Sources: WomensHealth.gov, HHS.gov

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